Original Article

Effect of pamidronate and calcium on implant osseointegration in ovariectomized rats

Abstract

Introduction: Supplementation with minerals like calcium has been shown to be effective in preventing bone loss and increasing bone density. Thus, it can be assumed that if calciumsupplementation is paired with bisphosphonates, greater benefit can be achieved. In this context, we decided to perform this animal study on ovariectomized rats to assess whether bisphosphonate supplemented with calcium can improve implant osseointegration compared to bisphosphonate and calcium alone.Materials and Methods: In this animal study, 40 ovariectomized rats were divided into 4 groups prior to implant insertion. The first group received 5 mg/kg intramuscular calcium gluconate 3 times per week for 4 weeks. The second group received 5 mg/kg intramuscular pamidronate 3 times per week for 4 weeks. The third group was administrated a combination of both intramuscular calcium gluconate and pamidronate. The control group received no medication. The rats were sacrificed andthe contact surface ratio (CSR) was evaluated 8 weeks after implant insertion in tibial bone.Result: The pamidronate receiving group had significantly better CSR than the Ca receiving and control groups (P < 0.001). Intravenous calcium did not improve CSR compared to the control group (P = 0.459).Conclusion: Short-term preoperative intravenous pamidronate can significantly improve bone to implant contact in post-menopausal animal models, whereas calcium supplementation has no beneficial effect.Keywords: Pamidronate, Calcium, Ovariectomy, Dental Implant

Marco F, Milena F, Gianluca G, Vittoria O. Peri-implant osteogenesis in health and osteoporosis. Micron 2005;36(7-8): 630-44.

Tsolaki IN, Madianos PN, Vrotsos JA. Outcomes of dental implants in osteoporotic patients. A literature review. J Prosthodont 2009; 18(4): 309-23.

Consensus development conference on osteoporosis.Am J Med 1993; 95(5 Suppl 3): S1-S78.

Friedlander AH. The physiology, medical management and oral implications of menopause. J Am Dent Assoc 2002; 133(1): 73-81.

Fleisch H. Bisphosphonates in osteoporosis. Eur Spine J 2003; 12(Suppl 2): S142-S146.

Fleisch H. Bisphosphonates: mechanisms of action.Endocr Rev 1998; 19(1): 80-100.

Kurth AH, Eberhardt C, Muller S, Steinacker M, Schwarz M, Bauss F. The bisphosphonate ibandronate improves implant integration in osteopenic ovariectomized rats. Bone 2005; 37(2): 204-10.

Smith EL, Gilligan C, Smith PE, Sempos CT. Calcium supplementation and bone loss in middle-aged women. Am J Clin Nutr 1989; 50(4): 833-42.

Viera-Negron YE, Ruan WH, Winger JN, Hou X, Sharawy MM, Borke JL. Effect of ovariectomy and alendronate on implant osseointegration in rat maxillary bone. J Oral Implantol 2008; 34(2): 76-82.

Tabuchi C, Simmons DJ, Fausto A, Russell JE, Binderman I, Avioli LV. Bone deficit in ovariectomized rats. Functional contribution of the marrow stromal cell population and the effect of oral dihydrotachysterol treatment. J Clin Invest 1986; 78(3): 637-42.

Qi M, Hu J, Li J, Li J, Dong W, Feng X, et al. Effect of zoledronate acid treatment on osseointegration and fixation of implants in autologous iliac bone grafts in ovariectomized rabbits. Bone 2012; 50(1): 119-27.

Skripitz R, Johansson HR, Ulrich SD, Werner A, Aspenberg P. Effect of alendronate and intermittent parathyroid hormone on implant fixation in ovariectomized rats. J Orthop Sci 2009; 14(2): 138-43.

Chen BL, Xie DH, Zheng ZM, Lu W, Ning CY, Li YQ, et al. Comparison of the effects of alendronate sodium and calcitonin on bone-prosthesis osseointegration in osteoporotic rats. Osteoporos Int 2011; 22(1): 265-70.

Giro G, Coelho PG, Pereira RM, Jorgetti V, Marcantonio E Jr, Orrico SR. The effect of oestrogen and alendronate therapies on postmenopausal bone loss around osseointegrated titanium implants. Clin Oral Implants Res 2011; 22(3): 259-64.

Nakamura Y, Hayashi K, Abu-Ali S, Naito M, Fotovati A. Effect of preoperative combined treatment with alendronate and calcitriol on fixation of hydroxyapatite- coated implants in ovariectomized rats. J Bone Joint Surg Am 2008; 90(4): 824-32.

Cardemil C, Omar OM, Norlindh B, Wexell CL, Thomsen P. The effects of a systemic single dose of zoledronic acid on post-implantation bone remodelling and inflammation in an ovariectomised rat model. Biomaterials 2013; 34(5): 1546-61.

Duarte PM, de Vasconcelos Gurgel BC, Sallum AW, Filho GR, Sallum EA, Nociti FH, Jr. Alendronate therapy may be effective in the prevention of bone loss around titanium implants inserted in estrogen-deficientrats. J Periodontol 2005; 76(1): 107-14.

Chacon GE, Stine EA, Larsen PE, Beck FM, McGlumphy EA. Effect of alendronate on endosseous implant integration: an in vivo study in rabbits. J Oral Maxillofac Surg 2006; 64(7): 1005-9.

Ruggiero SL, Fantasia J, Carlson E. Bisphosphonate- related osteonecrosis of the jaw: background and guidelines for diagnosis, staging and management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102(4): 433-41.

Files
IssueVol 1, No 1-2 (Winter/Spring 2014) QRcode
SectionOriginal Article(s)
Keywords
Pamidronate Calcium Ovariectomy Dental Implant

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Momeni M, Hasheminasab M, Mahmoodi M, Bayat M. Effect of pamidronate and calcium on implant osseointegration in ovariectomized rats. J Craniomaxillofac Res. 2016;1(1-2):17-20.